Robot-assisted driving systems and methods

Patent metadata

Field	Value
Publication number	US-10813711-B2
Application number	US-201816201787-A
Country	US
Kind code	B2
Filing date	Nov 27, 2018
Priority date	Nov 30, 2015
Publication date	Oct 27, 2020
Grant date	Oct 27, 2020

Abstract

Systems and methods for driving a flexible medical instrument to a target in an anatomical space with robotic assistance are described herein. The flexible instrument may have a tracking sensor embedded therein. An associated robotic control system may be provided, which is configured to register the flexible instrument to an anatomical image using data from the tracking sensor and identify one or more movements suitable for navigating the instrument towards an identified target. In some embodiments, the robotic control system drives or assists in driving the flexible instrument to the target.

First claim

What is claimed is:

1. A method for driving a medical instrument in three-dimensional space within an anatomy, the method performed by a robotic medical system and comprising:
acquiring a first anatomical image using an imaging system of the robotic medical system;
acquiring localization information for the instrument from a first sensor integrated in the instrument;
registering the instrument to the first anatomical image;
overlaying a representation of the instrument on the first anatomical image for display to a user;
receiving a user command to drive the instrument from its current position to a target within the anatomy;
updating, based on the acquired localization information, the representation of the instrument in real-time on a display as the instrument is driven;
acquiring a second anatomical image using the imaging system of the robotic medical system;
registering the instrument to the second anatomical image;
overlaying a representation of the instrument on the second anatomical image for display to the user; and
simultaneously displaying the representation of the instrument on the first anatomical image and the representation of the image on the second anatomical image.

2. The method of claim 1 , wherein the first sensor integrated in the instrument comprises an EM sensor.

3. The method of claim 2 , further comprising a second sensor integrated in the instrument, wherein the second sensor is an EM sensor.

4. The method of claim 3 , wherein the first and second EM sensors are each capable of at least 5-DOF sensing.

5. The method of claim 1 , wherein the first anatomical image is acquired from a CT imaging system.

6. The method of claim 5 , wherein the first sensor integrated in the instrument comprises a fiber optic sensor.

7. The method of claim 6 , further comprising:
identifying a target on the first anatomical image; and
identifying, based on the localization information of the instrument and the identified target, a pathway suitable for navigating the instrument from its current position towards the target.

8. The method of claim 7 , further comprising displaying a recommended shape for navigation of the instrument directed from its current position towards the target.

9. The method of claim 7 , wherein the first anatomical image includes bronchial airways.

10. The method of claim 9 , further comprising displaying a ring or circle indicator with the representation of the instrument on the first anatomical image on the display.

11. The method of claim 10 , wherein the instrument comprises an outer flexible sheath for delivering an imaging tool, a diagnostic tool or a therapeutic tool into the anatomy.

12. The method of claim 11 , wherein the instrument comprises an inner flexible sheath delivered through the outer flexible sheath.

13. A method for driving a medical instrument in three-dimensional space within an anatomy, the method performed by a robotic medical system and comprising:
acquiring a first anatomical image using an imaging system of the robotic medical system;
acquiring localization information for the instrument from a first sensor integrated in the instrument;
registering the instrument to the first anatomical image;
overlaying a representation of the instrument on the first anatomical image for display to a user;
identifying a target on the first anatomical image;
receiving a user command to drive the instrument from its current position to a target within the anatomy;
updating, based on the acquired localization information, the representation of the instrument in real-time on a display as the instrument is driven;
acquiring a second anatomical image using the imaging system of the robotic medical system;
registering the instrument to the second anatomical image;
overlaying a representation of the instrument on the second anatomical image for display to the user; and
simultaneously displaying the representation of the instrument on the first anatomical image and the representation of the image on the second anatomical image.

14. The method of claim 13 , wherein the instrument comprises a flexible instrument for delivering a diagnostic tool into the anatomy.

15. The method of claim 14 , wherein the flexible instrument comprises an inner member and an outer member.

16. The method of claim 14 , wherein the first anatomical image is acquired from a CT imaging system.

17. The method of claim 16 , further comprising displaying a circle indicator with the representation of the instrument on the first anatomical image on the display.

18. The method of claim 17 , wherein the circle indicator is displayed perpendicular to a heading direction of the instrument.

19. The method of claim 17 , wherein the first sensor comprises a fiber optic sensor.

20. The method of claim 13 , further comprising displaying a pathway depicting a recommended shape for navigation of the instrument directed from its current position towards a target on the first anatomical image.

21. A method for driving a robotically controlled elongate medical instrument in three-dimensional space within an anatomy, the method performed by a robotic medical system and comprising:
acquiring a pre-procedure view of the anatomy;
acquiring localization information for the robotically controlled elongate medical instrument from a first sensor integrated in the robotically controlled elongate medical instrument;
registering the robotically controlled elongate medical instrument to the pre-procedure view;
overlaying a representation of the robotically controlled elongate medical instrument on the pre-procedure view for display to a user;
receiving a user command to drive the robotically controlled elongate medical instrument within the anatomy;
updating, based on the acquired localization information, the representation of the robotically controlled elongate medical instrument on a display as the robotically controlled elongate medical instrument is driven;
acquiring an intra-procedure view;
registering the robotically controlled elongate medical instrument to the intra-procedure view;
overlaying a representation of the robotically controlled elongate medical instrument on the intra-procedure view for display to the user; and
simultaneously displaying the representation of the robotically controlled elongate medical instrument on the pre-procedure view and the representation of the image on the intra-procedure view.

22. The method of claim 21 , wherein the pre-procedure view is acquired from a CT imaging system.

23. The method of claim 22 , wherein the intra-procedure view is acquired from a fluoroscope.

24. The method of claim 21 , further comprising:
identifying a target on the pre-procedure view; and
identifying, based on the localization information of the robotically controlled flexible medical instrument and the identified target, a pathway suitable for navigating the robotically controlled flexible medical instrument from its current position towards the target.

25. The method of claim 21 , further comprising displaying a recommended non-linear shape for navigation of the robotically controlled flexible medical instrument directed from its current position towards a target.

26. The method of claim 21 , further comprising displaying a circle indicator with a representation of the robotically controlled elongate medical instrument on the display.

Assignees

• Auris Health Inc

Inventors

• Walker Sean Paul
• Caton Curtis
• Welsh Terence
• Virmani Neha
• Chiu Yu
• Park June

Classifications

• A61B2090/374

  NMR or MRI · CPC title

• A61B2090/376

  using X-rays, e.g. fluoroscopy · CPC title

• A61B34/25

  User interfaces for surgical systems · CPC title

• A61B2034/2061

  using shape-sensors, e.g. fiber shape sensors with Bragg gratings · CPC title

• A61B5/7425

  Displaying combinations of multiple images regardless of image source, e.g. displaying a reference anatomical image with a live image · CPC title